Question 1
According to the American Diabetes Association national guidelines, when can the
diagnosis of prediabetes be made?
a. Two separate fasting blood glucose readings less than 80-90 mg/dL (4.4-5.0 mmol/L)
b. A single fasting blood glucose reading in the range of 100-125 mg/dL (5.6-6.9 mmol/L)
c. An oral glucose tolerance test (OGTT) with a blood glucose reading of ≥ 200 mg/dL (11.1
mmol/L)
d. A single random blood glucose reading of ≥ 200 mg/dL (11.1 mmol/L) without any
concerning symptoms of diabetes (hyperglycemic crisis)
CORRECT ANSWER
b. A single fasting blood glucose reading in the range of 100-125 mg/dL (5.6-6.9 mmol/L)
Question 2
Which of the following describes an optimal lifestyle medicine treatment plan for
prediabetes?
a. Prescription for physical activity of 90 minutes per week and metformin 850 mg twice
daily.
b. Prescription for the American Diabetes Association (ADA) diet and metformin 850 mg
twice daily.
c. Prescription for a weight-loss program and regular exercise with the goals of losing 7% of
initial body weight and exercising 150 minutes per week.
d. No immediate prescription is necessary; however, the condition should be monitored
every 6 months with lab work (fasting glucose and HbA1c).
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@THE STUDY VAULT
, CORRECT ANSWER
c. Prescription for a weight-loss program and regular exercise with the goals of losing 7%
of initial body weight and exercising 150 minutes per week.
Question 3
Which of the following initial weight-loss goals for a patient with a BMI of 27 is typically
recommended?
a. 0-4% of body weight
b. 5-10% of body weight
c. 11-15% of body weight
d. This patient has a normal BMI and does not need to lose weight.
CORRECT ANSWER
b. 5-10% of body weight
Question 4
An office uses an (EMR) platform that has the functionality to identify populations of
patients with the same diagnosis code. How could this be used to monitor the impact of
lifestyle medicine treatments?
a. The EMR could identify all patients with the diagnosis code of "T2DM" and a condition
management nurse could review chart reports to ensure they've each had a monofilament
test and eye exam in the past year.
b. Patients with the diagnosis of "heart failure" could be identified. A review could help
ensure appropriate prescriptions and that routinely filling for an ACE-inhibitor have been
completed.
c. A diagnosis code for "dietary counseling and surveillance" could be charted each time a
provider gave weight-loss advice. These charts could be analyzed for weight loss over time.
2
@THE STUDY VAULT
According to the American Diabetes Association national guidelines, when can the
diagnosis of prediabetes be made?
a. Two separate fasting blood glucose readings less than 80-90 mg/dL (4.4-5.0 mmol/L)
b. A single fasting blood glucose reading in the range of 100-125 mg/dL (5.6-6.9 mmol/L)
c. An oral glucose tolerance test (OGTT) with a blood glucose reading of ≥ 200 mg/dL (11.1
mmol/L)
d. A single random blood glucose reading of ≥ 200 mg/dL (11.1 mmol/L) without any
concerning symptoms of diabetes (hyperglycemic crisis)
CORRECT ANSWER
b. A single fasting blood glucose reading in the range of 100-125 mg/dL (5.6-6.9 mmol/L)
Question 2
Which of the following describes an optimal lifestyle medicine treatment plan for
prediabetes?
a. Prescription for physical activity of 90 minutes per week and metformin 850 mg twice
daily.
b. Prescription for the American Diabetes Association (ADA) diet and metformin 850 mg
twice daily.
c. Prescription for a weight-loss program and regular exercise with the goals of losing 7% of
initial body weight and exercising 150 minutes per week.
d. No immediate prescription is necessary; however, the condition should be monitored
every 6 months with lab work (fasting glucose and HbA1c).
1
@THE STUDY VAULT
, CORRECT ANSWER
c. Prescription for a weight-loss program and regular exercise with the goals of losing 7%
of initial body weight and exercising 150 minutes per week.
Question 3
Which of the following initial weight-loss goals for a patient with a BMI of 27 is typically
recommended?
a. 0-4% of body weight
b. 5-10% of body weight
c. 11-15% of body weight
d. This patient has a normal BMI and does not need to lose weight.
CORRECT ANSWER
b. 5-10% of body weight
Question 4
An office uses an (EMR) platform that has the functionality to identify populations of
patients with the same diagnosis code. How could this be used to monitor the impact of
lifestyle medicine treatments?
a. The EMR could identify all patients with the diagnosis code of "T2DM" and a condition
management nurse could review chart reports to ensure they've each had a monofilament
test and eye exam in the past year.
b. Patients with the diagnosis of "heart failure" could be identified. A review could help
ensure appropriate prescriptions and that routinely filling for an ACE-inhibitor have been
completed.
c. A diagnosis code for "dietary counseling and surveillance" could be charted each time a
provider gave weight-loss advice. These charts could be analyzed for weight loss over time.
2
@THE STUDY VAULT
